• Title/Summary/Keyword: subjective symptom

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A Study on Air Pollution in Indoor Gymnasiums (실내체육관에서의 공기오염에 관한 연구)

  • 윤승욱;김윤신;이종대;이철민;조용성
    • Journal of Environmental Health Sciences
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    • v.26 no.3
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    • pp.32-37
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    • 2000
  • Nowadays, a new word called SBS(sick building syndrome) has been come into existence. At the point of time when an interest about indoor air pollution and, according to this, countermeasure plan are internationally. Moreover institutional countermeasure should be attended at national level since indoor air quality in public places where many people gather is directly connected with national health. Especially indoor pollution of indoor stadia where all sorts of sports are held can give rise to every kinds of respiratory ailments to players as well as audiences. So it is presented as a main factor that indoor space of stadia is crowded with players and audiences compared with other kinds of indoor space. Therefore, in this research to analyze pollution degree of indoor circumstance for gymnasium and exercising room of folk wrestling. basketball, judo, wrestling, hapkido, swordsmanship and boxing making indoor gymnasium and exercising room an object, when 7 items were measures such as thermocircumstance(temperature, relative humidity, air current, intensity of illumination), dust, carbon monoxide, and carbon dioxide being based on the indoor environmental standard of the first clause of Article 45 of public utilization service which is showed at public hygiene of the Ministry of Health and Social Affairs, it was showed that indoor temperature, relative humidity, air current and intensity of illumination were over standard amount at the most of folk wrestling gymnasium and exercising room. Indoor density of carbon monoxide was preserved to the extent of standard amount (10ppm) at all gymnasiums but carbon dioxide was not in excess of standard amount(1,000 ppm) at most of gymnasiums. Indoor density of dust induced from respiration exceeded the standard amount (150 $\mu\textrm{g}$/㎥) at all gymnasiums of the folk wrestling. Since the folk wrestling players and participants feel physical subjective symptom seriously, in other words the degree of indoor air pollution at gymnasiums and exercising rooms of the folk wrestling is very high, fundamental solution and countermeasure plan should be presented.

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A study on oral health behavior of shipbuilding company workers (조선소 근로자들의 구강보건행태에 관한 연구)

  • Kim, Eun-Ju;Lee, Heung-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.275-284
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    • 2012
  • Objectives : The purpose of this study was to examine the oral health behavior of shipbuilding company workers in some regions in a bid to provide information on the oral health plans for industrial fields. Methods : The subjects in this study were 310 workers in 10 shipbuilding companies and suppliers in Jeolla Namdo Province, on whom a self-administered survey was conducted. Results : 1. Concerning general information about the subjects who participated in the research, gender was possessed 94.8% by men and 5.2% by women. Age was the largest in 31~40 years old with 44.2%. Marital status was the largest in the married with 64.5%. It was the largest in under high school graduate with 71.9% for academic background, in 2,000,000 won~3,000,000 won with 49.0% for monthly family income, and in cooking with 33.9% for work field. 2. Research subjects' toothbrushing time was indicated to be the largest in after having breakfast. It was indicated to be twice a day with 41.3% for toothbrushing frequency. 90.3% of the respondents are not using auxiliary oral hygiene devices. 3. Recognition on periodontal health status was found larger in workers whose response was that their own periodontal health status is 'healthy' than workers who responded that their status is 'not healthy.' Workers, who don't have subjective symptom on periodontal status, were indicated to be larger. 4. Ratio of subjects with tooth scaling experience accounted for 59.7%. The ratio of tooth scaling experience was indicated to be different depending on academic background and monthly family income. Conclusions : Academic credential, monthly family income and the line of work were identified as the main factors to affect oral health care of the shipbuilding workers. Oral health education and dynamic implementation of corporate oral health promotion which are designed to meet the needs of workers are required.

Reflection of Pain in Cancer Patients Using a New Screening Tool for Psychological Distress

  • Oh, Seung-Taek;Lee, San;Lee, Hyeok;Chang, Myung Hee;Hong, Soojung;Choi, Won-Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.56-62
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    • 2017
  • Objectives : The objective of this study was to investigate the relationship between psychological distress and pain in cancer patients. Methods : 249 patients with cancer who visited National Health Insurance Service Ilsan Hospital between April 2013 and March 2014 were evaluated with National Cancer Center Psychological Symptom Inventory(NCC-PSI) which consisted of Modified Distress Thermometer(MDT) and Modified Impact Thermometer(MIT). Each scale was divided into 3 subscales targeting separate symptoms: insomnia, anxiety, and depression. Psychological distress was defined as positive for those who scored above the cutoff values in at least one of all six subscales. The Numeric Rating Scale for Pain(NRS-Pain) was used to assess the subjective severity of pain. Logistic regression was performed to investigate the association between psychological distress and pain. Results : Univariate logistic regression analysis showed that pain, gender, compliance, and two subscale scores of Hospital Anxiety and Depression Scale(HADS) were significantly associated with psychological distress. Multivariate logistic regression analysis showed that pain and HADS anxiety subscale score maintained a statistically significant association with psychological distress adjusted for variables including age, gender, years of education, Eastern Cooperative Oncology Group performance status, cancer stage, Charlson Comorbidity Index, compliance, and HADS depression subscale score. One point increase in pain was 1.31 times more likely to cause psychological distress. In secondary analysis, pain was significantly associated with all subscales of NCC-PSI, except MIT-anxiety subscale. Conclusions : This study suggests that NCC-PSI, a screening tool for psychological distress, reflects pain. We recommend that physicians who treat cancer patients consider the examination of psychological distress which provides comprehensive evaluation of various factors regarding quality of life.

Comparative Analysis of the Independent Medical Examination Reports and Legal Decisions in Pain Medicine

  • Nahm, Francis Sahn-Gun;Lee, Pyung-Bok;Kim, Tae-Hun;Kim, Yong-Chul;Lee, Chul-Joong
    • The Korean Journal of Pain
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    • v.23 no.1
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    • pp.28-34
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    • 2010
  • Background: An independent medical examination (IME) is a critical process for awarding reparation for injury. However, conducting an IME in pain medicine is very difficult, not only because pain is a subjective symptom, but also because there are no proper objective methods to demonstrate it. This study was conducted to compare IME reports and the court decisions on the disability status of the patients. Methods: We analyzed 79 IME reports and 25 corresponding court decisions on the disability status of patients. The diagnoses, causal relationships between the patients' status and the trauma, McBride's degree of disability, the American Medical Association's impairment ratings, the estimated annual cost for future treatment, and the necessity of care-giving were compared and analyzed. Results: The diagnoses in the 79 cases were complex regional pain syndrome (CRPS) type I (58 cases), CRPS type II (7 cases), peripheral neuropathy (5 cases), myofascial pain syndrome (4 cases), herniated intervertebral disc (2 cases), and fibromyalgia (1 case). The types of accidents were road traffic accidents (50 cases), military injuries (14 cases), industrial accidents (11 cases), and others (4 cases). The IME reports and the court decisions stated considerably different McBride's degrees of disability (P = 0.014). However, there was no significant difference in the estimated cost for future treatment between the IME reports and the court decisions (P = 0.912). Conclusions: IME reports should be accurate, fair, and based on objective findings. Feedback on IMEs from the court decisions is helpful for reference use.

A Case Study Reporting Successful Treatment using Hyeongbangjihwang-tang of a Soyangin Patient diagnosed with Benign Arrhythmia and Experiencing Palpitation Symptoms (형방지황탕(荊防地黃湯)으로 경계(驚悸), 정충(怔忡)을 치료한 양성 부정맥 소양인(少陽人)환자 1례(例))

  • Shin, Hyun-Shang;Park, Byung-Joo;Kang, Mi-Jeoug;Lee, Ji-Won;Jang, Hyun-Su;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byeong-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.2
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    • pp.115-122
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    • 2010
  • 1. Objectives: This case study reports clinical improvement of a Soyangin benign arrhythmia patient who showed improvement of palpitation symptoms after treatment with Hyeongbangjihwang-tang. 2. Methods: The patient's subjective and objective symptoms were observed daily, and the VAS scores and duration times of palpitation were recorded daily throughout the hospitalization period. 3. Results: The general condition of the patient improved by the end of hospitalization. The VAS score dropped from 4-10 to 0-1, and the duration of palpitation dropped from 50-160 min to 0-5 min. Other symptoms such as diarrhea and lower back pain also showed improvement. 4. Conclusion: This case study shows the effectiveness of Hyeongbangjihwang-tang in the treatment of palpitation. Although the literature on Hyeongbangjihwang-tang does not report its usage on palpitation, the prescription was shown to be effective in the case where the palpitation symptom is concomitant to the general symptomatology of the Mangeum disease, a pathology indicative of Hyeongbangjihwang-tang.

A Study on the Self-related Postpartum Body Evaluation by Maternal Age and Delivery Method (출산 후 산모들의 주관적인 신체 평가에 대한 연령과 분만방식에 따른 분석)

  • Ha, Su-Jin;Hwang, Deok-Sang;Lee, Jin-Moo;Jang, Jun-Bock;Lee, Chang-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.2
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    • pp.63-76
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    • 2020
  • Objectives: The purpose of this study is to compare postpartum symptoms of 528 women by age groups and delivery method through health questionnaires of postpartum care center. Methods: From January 2018 to December 2018, we statistically compared the 528 women's postpartal symptoms who divided into 4 age groups using SPSS Statistics 21.0 program. Results: There were no differences in weight changes, gestational age and degree of subjective discomfort by age (p>.05). On the other hand, parity, fetal weight and delivery method were statistically associated with age (p<.05). Especially the rate of cesarean delivery was increased with age. Degree of feeling dyspepsia and edema was higher in cesarean section delivery group (p<.05). Also, as the weight increased by 1 kg during pregnancy, the degree of feeling postnatal edema increased by 0.204 (β=0.204, t=4.204, p<.05). Conclusion: This study showed that age itself will not affect postpartum symptoms alone. Instead it is necessary to consider post-cesarean delivery symptoms for advanced maternal age.

Comparison of Clinical and Psychological Characteristics between Self-Reported Bruxism and Clinically Detected Bruxism by Wear Facet on Splint

  • Shim, Young-Joo;Kang, Jin-Kyu;Lee, You-Mee;Lim, Hyun-Dae
    • Journal of Oral Medicine and Pain
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    • v.40 no.4
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    • pp.140-145
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    • 2015
  • Purpose: Bruxism is commonly considered a major risk factor for temporomandibular disorders (TMD), and the psychosocial factors had been one of the etiologic factor of bruxism. But there are still unsolved issues on the relationship between sleep bruxism and TMD and the etiologic factors of bruxism. This study is aim to evaluate the clinical and psychosocial characteristics according to diagnostic grade of bruxism in TMD patients. Methods: Three hundred subjects were enrolled who were under the stabilization splint therapy for TMD. Recently international consensus proposed a diagnostic grading system of "possible", "probable", and "definite" sleep or awake bruxism for clinical and research purpose. According to their suggestion, we classified these subjects as self-reported bruxism (SRB) and wear facet bruxism (WFB). We investigated the clinical characteristics (sex, age, chief complaint, pain duration, visual analogue scale), sum of tenderness (temporomandibular joint, masticatory muscles, cervical muscles), diagnosis of TMD according to research diagnostic criteria (the Research Diagnostic Criteria for Temporomandibular Disorders, RDC/TMD), headache, subjective sleep quality (Pittsburgh Sleep Quality Index, PSQI), and psychosocial characteristics (Symptom Checklist-90-Revised, SCL-90-R) in enrolled subjects. We compared the clinical and psychosocial characteristics between these bruxism groups. Results: There were no significant correlation between self-reported and WFB (p=0.13). SRB subjects more reported pain as a chief complain than subject who did not report bruxism (p=0.014). The mean score of global PSQI was significantly higher in SRB than in did not report positively subjects (p=0.045). The mean score of anxiety and phobic anxiety was significantly higher in SRB than in did not reported positively subjects (p=0.045, p=0.041). Conclusions: Although bruxism is regarded as risk factor of TMD, this study showed inconsistent result between SRB and clinically detected bruxism by wear facet on slpint. We suggest that the clinician should consider with extreme caution when they assess SRB.

A Study on the Relationship between Job Stress and Subjective Symptoms Associated with Musculoskeletal Disorders of the Workers at Automobile Manufacturing Industry (자동차산업 근로자의 직무스트레스와 근골격계질환 자각증상과의 연관성)

  • Kim, Hyunsung;Choi, Soonyoung;Kang, Sukho;Park, Donghyun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.3
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    • pp.264-275
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    • 2006
  • MSDs(Musculoskeletal Disorders) and Job Stress have been recognized as one of major problems in industry these days according to the results of most industrial health/safety studies. Specifically, MSDs have been growing problems in Korea as well as in US and European countries with higher incidence rate every year. This study tries to understand characteristics of job stress and association between MSDs and job stress for the workers at automobile manufacturing industry. This study also tries to understand the differences in terms of job stress between white collar and blue collar workers. The results showed that there was definite association between symptoms of MSDs and some of major job stress factors. However, there were big differences in terms of associations between two groups(white collar and blue collar workers). The first group(white collar workers) showed more associations between symptoms of MSDs and some of major job stress factors than that of the second group(blue collar workers) although symptom rate of the second group was higher than that of the first group. It could be concluded that symptoms of the first group had more effects from job stress while symptoms of the second group had more effects from typical job risk factors based on the results of the study.

Factors associate with Musculoskeletal Symptoms in Small and Medium Sized Hospital Nurses (중소병원간호사의 근골격계증상 영향 요인)

  • Jung, Ji Soo;Eun, Young
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.159-170
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    • 2017
  • Purpose: The purposes of this study were to identify musculoskeletal symptoms and to investigate factors associated with musculoskeletal symptoms in small and medium sized hospital nurses. Methods: The data were collected from 206 nurses working in Jeonnam. We used self administration questionnaires of KOSHA GUIDE H-9-2012 for musculoskeletal symptoms, PWI-SF for psychosocial stress, KOSS for job stress, and HPLP-II for health behaviors. The collected data were analyzed using the $x^2$, t-test, and logistic regression analysis in SPSS Ver. 23.0. Results: Sixty-six percent of the subjects had musculoskeletal symptoms. The shoulder had the highest symptom at 38.3%, followed by lower back at 32.5%, and neck at 29.1%. The mean and standard deviation score of psychosocial stress were $24.06{\pm}6.01$, those of job stress were $2.38{\pm}0.23$, and those of health behaviors were $2.14{\pm}0.39$. The items that were significantly different according to musculoskeletal symptoms were career ($x^2=6.67$, p<.036), one week overtime ($x^2=7.27$, p<.026), subjective health status ($x^2=4.29$, p<.038), and psychosocial stress ($x^2=7.99$, p<.010). In logistic regression analysis, career, and psychosocial stress were found to affect musculoskeltal symptoms. Conclusion: It is necessary to conduct preventive intervention to reduce musculoskeletal symptoms according to career and psychosocial stress for small and medium sized hospital nurses.

Evaluation for Therapeutic Effectiveness of Bowhatang in Functional Dyspepsia (기능성 소화불량증 환자에 대한 보화탕(保和湯)의 임상효과)

  • Kim, Dong-Woo;Choi, Bin-Hye;Hur, Jin-Il;Park, Kyung;Kim, Dae-Jun;Byun, Joon-Seok
    • Herbal Formula Science
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    • v.14 no.2
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    • pp.97-108
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    • 2006
  • Objective: Functional dyspepsia refers to sustainable or repetitive pain at upper stomach related with food intake. This research was intended to observe the improvement of the symptom by administering Bowhatang to a number of functional dyspepsia patients and to clarify its clinical effects. Method: The research was performed upon the appropriate 36 patients conforming to the criteria after being diagnosed with functional dyspepsia among the 87 patients who visited the department of internal medicine at Gumi Oriental Hospital of Daegu Haany University for digestive diseases and were administered with Bowhatang. Result: 91.8% of the patients had upper stomach globus symptoms. which is of the largest percentage. and 13.5% had hunger pain. which is of the least percentage. After administering Bowhatang. by and large Likert scale was significantly reduced. According to the subjective improvement evaluation by the patients. 32 patients(86%) were improved. and 3 patients(8%) had neither improvement nor relapse. while 2 patients ( 6%) were relapsed. Conclusion: Bowhatang has shown significant improvement about the symptoms for functional dyspepsia patients. It is predicted when more outcomes become available from researches on side effects or toxicity of Bowhatang later on. it will be more often used in the clinic.

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